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General NPI Number Information
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NPI Number | 1982135570
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Entity Type | Individual
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Provider Name | BROOKE FRANCES BEKKEDAHL PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1231 116TH AVE NE STE 750
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City | BELLEVUE
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State | WA
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Zip | 98004-3812
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Country | US
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Telephone | 425-455-3600
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Fax | 425-455-3920
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Provider Business Mailing Address
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Address Line | 805 MADISON ST STE 901
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City | SEATTLE
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State | WA
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Zip | 98104-1172
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Country | US
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Telephone | 206-264-8100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA60762133
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License Number State | WA
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